Small Fry Dentistry PC
NPI #1639361371 in Gallup, New Mexico
Provider Information
- NPI Number
- 1639361371
- Entity Type
- Organization
- Organization Name
- Small Fry Dentistry PC
- Primary Specialty
- Dentist
- Enumeration Date
- Aug 16, 2007
- Last Updated
- Aug 16, 2007
Practice Location
- Address
- 1401 LINDA DR
- City
- Gallup
- State
- New Mexico
- ZIP Code
- 87301-5615
- Phone
- (505) 870-6128
Authorized Official
- Name
- DR. EDUARDO VALDA, DDS
- Title
- OWNER
- Phone
- (505) 870-6128
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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